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で化膿性脊椎炎と腸腰筋膿瘍の新出を認め，第95 病日のCT では右総腸骨動脈の拡大がみられた。急速な拡大傾向に加え動脈周囲に浮腫を反映する低吸収域を伴っていたため感染性大動脈瘤と診断し，第127 病日にステントグラフト内挿術を施行するも第164 病日に血圧が低下し死亡した。慢性的に免疫機能が低下した透析患者では菌血症のリスクが極めて高い。黄色ブドウ球菌による菌血症では転移性感染症の発症頻度が高いとされるが，維持透析患者に化膿性脊椎炎，腸腰筋膿瘍，感染性大動脈瘤を合併した報告はこれまでになく興味深い症例であったため文献的考察を加えて報告する。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00004755","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨大学医学会","subitem_publisher_language":"ja"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11839837","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1348-5091","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_language":"ja-Kana","subitem_text_value":"ショウレイ ホウコク 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